Wound care coordination in St. Louis, from request to follow-up.

What wound care coordination means

Wound care coordination in St. Louis is the core of what Gateway does. One wound can involve a hospital, a primary care office, a wound clinician, a nurse who changes dressings, a supply company and a family member holding it all together. Coordination means someone makes sure those people have the same information and that the next step actually happens.

Gateway connects you with partner clinicians who provide the care. We arrange and track the work around the visit. The treating clinician makes every clinical decision, including assessment, diagnosis, orders and treatment.

Who wound care coordination helps

• Patients who have a wound and are not sure who to call
• Family members managing care for a parent or spouse
• Discharge planners and case managers setting up wound follow-up before someone leaves the hospital
• Facility nurses who need a wound clinician to see residents
• Physician practices that want a patient’s wound followed between office visits

What Gateway coordinates

1. The request. We take the call or callback request and confirm the location and care setting.
2. Scheduling. We arrange the visit with a partner clinician. Availability is confirmed by location and care setting.
3. Records. We gather discharge summaries, current wound orders, medication lists and referral notes so the clinician does not start from zero.
4. Orders. After the visit, we make sure the clinician’s orders reach the people who carry them out.
5. Supplies. We help sort out who is ordering dressings and equipment, and we follow up on wound supply and equipment orders.
6. Tests and referrals. When the clinician orders imaging, lab work or a specialist visit, we help with the appointment and the return of results.
7. Follow-up. We track the next visit and keep the care team informed.

What stays with the treating clinician

Coordination is not clinical care. Gateway staff do not assess wounds, choose dressings or decide what treatment is needed. If you ask us a medical question, we pass it to the treating clinician or tell you who to contact.

Coverage decisions are not ours either. Your plan and the treating provider determine benefits. For partner practices, we help organize visit records and documentation, while coding, claims and medical necessity stay with the practice.

Coordination at home

At home, the gaps are usually practical. Supplies run low, hospital orders do not match what the home health nurse has, or nobody is sure when the next visit is.

We confirm visit times with you or a family contact, check that your home health agency (if you have one) has current wound orders, and follow up when a supply shipment is late. Our guide to building your wound care contact list can help you keep track of who does what.

Coordination in facilities

In skilled nursing, assisted living, memory care and rehabilitation settings, coordination centers on the nursing team. We work with staff on which residents will be seen, what records the clinician needs and how orders and visit notes get back into each resident’s chart.

Facilities that want a regular visit schedule can read about facility wound rounds.

Transportation and moves between care settings

Some care cannot come to you. When a test, procedure or specialist visit happens elsewhere, we help arrange transportation by lining up the appointment time, access needs, and pickup and return details with you, the care team and the transportation provider. The transportation provider or your benefit plan confirms eligibility, booking and any cost. See our guide to planning transportation for wound care.

Wound plans often get lost when someone moves from one setting to another. Before a discharge, confirm who is receiving the wound orders, who will change dressings and how questions will reach the clinician. We help with wound follow-up after hospital discharge.

Keeping primary care in the loop

Your primary care clinician manages conditions that shape healing, such as diabetes, circulation problems and nutrition. We help make sure wound visit findings and order changes reach that office. We also pass along their updates, such as a new medication or a hospital stay, to the wound clinician. Read more about primary care and wound care together.

How to start

Call 314-325-0126, or request care online. The form collects only a name and phone number, so please do not include medical details. You can call with or without a referral.

Hospitals, facilities and practices can refer a patient or send a referral by fax to 314-786-7966. Gateway is not an emergency service. For an emergency, call 911.

Common questions

Related pages

• Our approach
• Continuity of care
• Wound care after hospital discharge
• Wound supplies and DME coordination
• Wound care alongside home health
• Request care
• Compression therapy
• Wound debridement at home